Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $17,378.01	Facility		$2,398.83	$6,456.54	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $9,332.54	Facility		$66.07	$3,548.13	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $851.14	Professional		$562.34	$660.69	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,047.13	Professional		$489.78	$645.65	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $28,840.32	Facility		$25,703.96	$25,703.96	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $741.31 / $1,258.93	Facility		$549.54	$741.31	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96